대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제60권1호
  • /
  • Pages.100-109
  • /
  • 2022
  • /
  • 0301-2875(pISSN)
  • /
  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

완전 무치악 환자에서 임시 의치와 치과용 CAD-CAM을 활용한 전악 고정성 임플란트 회복 증례

Complete mouth rehabilitation with fixed implant-supported prosthesis using temporary denture and dental CAD-CAM

  • 전솔 (서울대학교 치의학대학원 치과보철학교실) ;
  • 윤형인 (서울대학교 치의학대학원 치과보철학교실) ;
  • 이재현 (서울대학교 치의학대학원 치과보철학교실) ;
  • 여인성 (서울대학교 치의학대학원 치과보철학교실) ;
  • 한중석 (서울대학교 치의학대학원 치과보철학교실)
  • Jeon, Sol (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Yoon, Hyung-In (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Lee, Jae-Hyun (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Yeo, In-Sung Luke (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Han, Jung-Suk (Department of Prosthodontics, School of Dentistry, Seoul National University)
  • 투고 : 2021.09.06
  • 심사 : 2021.10.04
  • 발행 : 2022.01.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

임플란트를 이용한 수복 치료에서 장기적인 안정을 얻기 위해서는 임플란트의 식립 시 보철 수복에 이상적인 위치와 각도로 식립하는 것이 중요하다. 이를 위해서는 정확한 치료계획에 따른 수술과 보철 치료가 이루어져야 한다. 본 증례에서는 캐드캠 기술을 이용해 수술 계획 수립, 고정성 임시 보철물 및 최종 보철물 제작을 진행하였다. 최종 보철물을 고려하여 제작한 수술용 가이드로 임플란트를 식립하였다. 임시 의치가 가진 환자의 심미적 정보를 고정성 임시 보철물과 최종 보철물의 제작에 활용하였다. 최종적으로 단일구조 지르코니아를 이용한 전악 임플란트 고정성 보철 수복으로 기능 및 심미적으로 환자가 만족할만한 결과를 얻을 수 있었다.

Installation of dental implants at optimal angles and positions is critical in long-term stable implant-supported restorations. Surgery and prosthodontic procedures should be performed accurately as the treatment is planned. In this clinical case, Computer aided design and manufacturing technology was used not only to establish a precise surgical plan, but also to fabricate both provisional and definitive fixed prostheses. A surgical guide was designed to install the implants at proper positions for the definitive prostheses. The patient's esthetic information, which was necessary for the new provisional and definitive fixed prostheses, was obtained from the existing temporary dentures. Finally, the complete mouth fixed implant-supported rehabilitation using monolithic zirconia provided the patient with functionally and esthetically satisfactory prostheses.

키워드

참고문헌

  1. Misch CE. Dental implants prosthetics. 2nd ed., St. Louis; Elseiver; Mosby; 2015. p. 11.
  2. Harris BT, Chen L, Lin WS. Digital imaging and prosthetic-driven implant planning: efficient, accurate, and reliable treatment. Compend Contin Educ Dent 2017;38:492-4.
  3. Joda T, Bragger U. Digital vs. conventional implant prosthetic workflows: a cost/time analysis. Clin Oral Implants Res 2015;26:1430-5. https://doi.org/10.1111/clr.12476
  4. Kapos T, Ashy LM, Gallucci GO, Weber HP, Wismeijer D. Computer-aided design and computer-assisted manufacturing in prosthetic implant dentistry. Int J Oral Maxillofac Implants 2009;24:110-7.
  5. Jivraj S, Chee W, Corrado P. Treatment planning of the edentulous maxilla. Br Dent J 2006;201:261-79;quiz 304. https://doi.org/10.1038/sj.bdj.4813952
  6. Hassan B, Gimenez Gonzalez B, Tahmaseb A, Greven M, Wismeijer D. A digital approach integrating facial scanning in a CAD-CAM workflow for complete-mouth implant-supported rehabilitation of patients with edentulism: A pilot clinical study. J Prosthet Dent 2017;117:486-92. https://doi.org/10.1016/j.prosdent.2016.07.033
  7. Miyamoto T, Kumagai T, Jones JA, Van Dyke TE, Nunn ME. Compliance as a prognostic indicator: retrospective study of 505 patients treated and maintained for 15 years. J Periodontol 2006;77:223-32. https://doi.org/10.1902/jop.2006.040349
  8. Kwon KR. The prosthetic approach for collapsed vertical dimensions of occlusion. J Dent Rehabil Appl Sci 2004;20:169-81.
  9. Zitzmann NU, Marinello CP. Treatment plan for restoring the edentulous maxilla with implant-supported restorations: removable overdenture versus fixed partial denture design. J Prosthet Dent 1999;82:188-96. https://doi.org/10.1016/S0022-3913(99)70155-1
  10. Lemos CA, Ferro-Alves ML, Okamoto R, Mendonca MR, Pellizzer EP. Short dental implants versus standard dental implants placed in the posterior jaws: A systematic review and meta-analysis. J Dent 2016;47:8-17. https://doi.org/10.1016/j.jdent.2016.01.005
  11. Annibali S, Cristalli MP, Dell'Aquila D, Bignozzi I, La Monaca G, Pilloni A. Short dental implants: a systematic review. J Dent Res 2012;91:25-32. https://doi.org/10.1177/0022034511425675
  12. Korsch M, Marten SM, Dotsch A, Jauregui R, Pieper DH, Obst U. Effect of dental cements on peri-implant microbial community: comparison of the microbial communities inhabiting the peri-implant tissue when using different luting cements. Clin Oral Implants Res 2016;27:e161-6. https://doi.org/10.1111/clr.160_12958
  13. Kanno T, Carlsson GE. A review of the shortened dental arch concept focusing on the work by the Kayser/Nijmegen group. J Oral Rehabil 2006;33:850-62. https://doi.org/10.1111/j.1365-2842.2006.01625.x
  14. Solow RA. Comprehensive implant restoration and the shortened dental arch. Gen Dent 2010;58:390-9.
  15. Lepidi L, Galli M, Grammatica A, Joda T, Wang HL, Li J. Indirect digital workflow for virtual cross-mounting of fixed implant-supported prostheses to create a 3d virtual patient. J Prosthodont 2021;30:177-82. https://doi.org/10.1111/jopr.13247
  16. Schulte W. Implants and the periodontium. Int Dent J 1995;45:16-26.
  17. Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Implants Res 2005;16:26-35. https://doi.org/10.1111/j.1600-0501.2004.01067.x
  18. Zarone F, Apicella A, Nicolais L, Aversa R, Sorrentino R. Mandibular flexure and stress build-up in mandibular full-arch fixed prostheses supported by osseointegrated implants. Clin Oral Implants Res 2003;14:103-14. https://doi.org/10.1034/j.1600-0501.2003.140114.x
  19. Wittneben JG, Buser D, Salvi GE, Burgin W, Hicklin S, Bragger U. Complication and failure rates with implant-supported fixed dental prostheses and single crowns: a 10-year retrospective study. Clin Implant Dent Relat Res 2014;16:356-64. https://doi.org/10.1111/cid.12066
  20. Wittneben JG, Millen C, Bragger U. Clinical performance of screw- versus cement-retained fixed implant-supported reconstructions-a systematic review. Int J Oral Maxillofac Implants 2014;29:84-98. https://doi.org/10.11607/jomi.2014suppl.g2.1